HomeMy WebLinkAboutHomestead_Elpers (6) --�� t- , CLAIM FOR HOMESTEAD PROPERTY TAX YEAR
r',e, FORM
V��:� STANDARD!SUPPLEMENTAL DEDUCTION
SMM Fen 5473(RI711-16) HOW
44J_Y:i7 Resctbed by to Department ref Ural Government Ammo
INSTRUCTIONS:See reverse side for essbocEons
NOTE Telephone,Social Security drivers fcense,slate ilert65aboo and - -rode offal under IC 6-1.1-12-37.
CERTIFICATION lira TEN ENT
��
1(am) ire /1 /re/air; I .L/ .. t for is Ho Homestead Pv21tIlVJ SeL�
place of residence or am(are)buying the . .. rig deswbed real property under contract far which a Homest�d Flo ij) lyd1rVy�
Deduction is Hereby claimed co the date this appGcaaon is sighed, APR 1 6 2013 (data of gnat •
LJ Own. ❑ Am(are)buying under recorded contract
❑ Am(are)entitled to occupy as a tenant-stockholder of a coupe -i - •using wrpora'a- . o��7 p �J
❑ Have a beneficial interest in the trust or the fight to occupy the pro•,-- • d- .. 1' :.. a qualified persorla(hNlide9c1 trGSi'V
❑ Am(are)the shareholder, partner,or member of the en'. fir' : %'•iii
- - _ ' •
•
-�
Cony Township Teeing dsbid(my;own Memtip)
Parcel number Legel Mscp`at eQaO�
Real p xcaty ❑Anuaey assessed noble Mime(IC 6-1.1-7)
Itany parran ate d ems more cr ee lard M emeSg ore(1)ace dal imffimey extant tad strums.is used to produce income,despite eee use and prom
of the prepay tamed o produce Marne.
dla- 9 . 09 J06 COO moo 0aS
' . ,. .t:.` P, OPERTVOVJitED ELSEIVHERE& CLAIh1A PIT.:".. y;�t: # trMi 4
Sate,Carty,as]Township
Is claimant vacating a homestead?
❑ Yes ❑ No
debited
I hereby certify the above statements are hue,correct and complete. 1 /gym 1 ?
Added a tamed Member d seed,city,MM.and Wen) „on.-_S„a ,ceauedd ••U_l.• aa'1 abeet r3$S are/Moose)
•
ASSESSOR USE ONLY i .. ASSESSED VALUE.= _HOMESTEAD VALUE..„ IT. NO.7 VSIDE NTIAL"'
exceeding Land not �
surrounding resdential unpoveme e (1)
Other land (2)
Total land(litre 1 plus line 2) (3)
Residential improvements or owamng (4)
annually assessed mobile/
manufactured home Garage (5)
tu
t ^ c - `Other improvements (6)
Total improvements(line 4 through line 6) (7)
Total value pine 3 plus fine 7) (6)
I hereby certify the above Is true,correct, She of Assessor Dore aged(etayh,day:year)
and complete.
VMyig action-Basted ciao/ea v A e�
J
STANDARD DEDUCTION ALLOWANCE. i
20_pay 20_ Lessor of 60%of the assessed ague of the homestead or S45,000.
APR 1 6' 2018
No eimstanding any other provision,the sum of the dectflo s provided in IC 6-1.1-12 to a mobile harp $ H` I` 1
Mat is not assessed as real property or Iv a manufactured home that is not assessed as coal property may
rot exceed ores haf(f12)of the assessed vaam of Me rmtde home or manufactured home.
apudbr � pate p '
L 4.14.0...4wl/i GlIgS-050 Ty AUDI'OR
DLS1 mJ1lON:Origibsl-CornyAosoc Fbeaimed Copy-Taxpayer
Page 1 or 2